Review of the European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms: what is new and prospects for development

• Svetlikov A.V.
• Galkin P.A.
• Yablonsky P.P.
• Gurevich V.S.
• Ratnikov V.A.

Abstract

In early 2024, the updated ESVS guidelines for the care of patients with aneurysms of the abdominal aorta and iliac arteries were published.

A total of 160 recommendations were presented on the following topics: service standards, including surgical volume and training; epidemiology, diagnosis and screening; management of patients with small abdominal aortic aneurysms (AAA), including surveillance, cardiovascular risk reduction, and indications for treatment; elective AAA repair, including surgical risk assessment, open and endovascular surgery, as well as early complications; ruptured and symptomatic AAA, including perioperative management, such as permissive hypotension and use of aortic balloon occlusion, open and endovascular repair, as well as early complications; long-term results and follow-up after AAA surgery, including graft infection, endoleaks and subsequent procedures; management of complex AAA, including open and endovascular repair; treatment of iliac artery aneurysm, including indications for surgery; miscellaneous aortic problems, including mycotic, inflammatory and saccular aortic aneurysms. In addition, shared decision making is addressed, with supporting information for patients, and unresolved issues are discussed.

Conclusion. The ESVS Clinical Practice Guidelines provide the most comprehensive, up-to-date, and unbiased advice to clinicians and patients on the management of AAA and iliac aneurysms.

This article is an attempt to compare approaches to the treatment of patients with AAA under modern conditions in the Russian Federation to the concept proposed by the ESVS, with the aim of accelerating the development of domestic stent grafts.

Funding. Research support: grant of the Ministry of Education and Science No. 075-15-2022-1110.

Conflict of interest. The authors declare no conflicts of interest.

Authors’ contribution. Study conception and design – Svetlikov A.V.; data collection and handling – Svetlikov A.V., Galkin P.A., Gurevich V.S., Yablonsky P.P.; statistical processing – Svetlikov A.V., Ratnikov V.A.; draft manuscript preparation – Svetlikov A.V., Gurevich V.S., Yablonsky P.P.; manuscript revision – Ratnikov V.A., Gurevich V.S.

For citation: Svetlikov A.V., Galkin P.A., Yablonsky P.P., Gurevich V.S., Ratnikov V.A. Review of the European Society for Vascular Surgery (ESVS) 2024 Clinical Practice Guidelines on the Management of Abdominal Aorto-Iliac Artery Aneurysms: what is new and prospects for development. Angiology and Vascular Surgery. Journal named after Academician A.V. Pokrovsky. 2024; 30 (2): 131–6. DOI: https://doi.org/10.33029/1027-6661-2024-30-2-131-136

Keywords: European guidelines on the management of abdominal aorto-iliac artery aneurysms; clinical recommendations; abdominal aortic aneurysms; stent grafts